Healthcare Provider Details

I. General information

NPI: 1841106804
Provider Name (Legal Business Name): 1 HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 ALT 19 STE 604
PALM HARBOR FL
34683-2644
US

IV. Provider business mailing address

1200 N FEDERAL HWY STE 200
BOCA RATON FL
33432-2813
US

V. Phone/Fax

Practice location:
  • Phone: 877-277-3561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CALISTI
Title or Position: CEO
Credential:
Phone: 914-522-9341